Referrals from general practice to hospital outpatient departments: a strategy for improvement.

Abstract:

OBJECTIVE:To determine the appropriateness of referrals from general practice to hospital outpatient departments. DESIGN:Prospective audit of referrals from a group practice over one year. SETTING:Six handed practice in a southern coastal town. SUBJECTS:All patients referred during the study period for whom a copy of the referral letter was available. MAIN OUTCOME MEASURES:The investigations carried out by the consultant that led to the diagnosis; the diagnosis reached; and the management. RESULTS:Of roughly 3000 patients referred during the year, 277 with various skin and soft tissue disorders could probably have been managed solely by the general practitioner. Referrals for cryotherapy (96 in this series) and diabetes (19) could probably also have been avoided by specialist training of the general practitioner. In addition, in cases of haematuria and prostatic hypertrophy (34 and 22 referrals) substantial time could have been saved for both the patient and the consultant had the general practitioner supplied the results of relevant investigations. Probably the most important outcome was the model that the study offered for other general practitioners to improve the appropriateness of referrals. CONCLUSION:This approach to determining the appropriateness of referrals benefits the general practitioners, the consultant, and the patient.

journal_name

BMJ

authors

Emmanuel J,Walter N

doi

10.1136/bmj.299.6701.722

subject

Has Abstract

pub_date

1989-09-16 00:00:00

pages

722-4

issue

6701

eissn

0959-8138

issn

1756-1833

journal_volume

299

pub_type

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